Individual
JOSEPH RAVALESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
25 NEWELL RD STE C11, BRISTOL, CT 06010-5140
(860) 582-9800
(203) 575-5992
Mailing address
25 NEWELL RD STE C11, BRISTOL, CT 06010-5140
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
039160
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001391606
—
CT
01
—
010039160CT01
ANTHEM BCBS
CT
01
—
039160
CONNECTICARE
CT
01
—
OV7350
PHS/HEALTHNET
CT
01
—
P2354315
OXFORD
CT
Enumeration date
04/06/2006
Last updated
04/16/2026
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